Provider Demographics
NPI:1114930674
Name:TSANG, ANN KATZUR (MD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:KATZUR
Last Name:TSANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:965 48TH ST
Mailing Address - Street 2:DEPT OF EMERGENCY MEDICINE
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-2919
Mailing Address - Country:US
Mailing Address - Phone:718-283-6031
Mailing Address - Fax:
Practice Address - Street 1:965 48TH ST
Practice Address - Street 2:DEPT OF EMERGENCY MEDICINE
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-2919
Practice Address - Country:US
Practice Address - Phone:718-283-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY235508207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1019162120001OtherPROMISE
PA2843654000OtherKEYSTONE
PA1963872OtherBLUE SHIELD
PA30045387OtherKEYSTONE MERCY
PA101916212Medicaid
PA111965JTKMedicare PIN
PAP00462641Medicare PIN